Dr Stonewall Mccuiston Jr, MD | |
375 N Wall St Ste P310, Kankakee, IL 60901-3484 | |
(815) 933-0194 | |
(815) 936-3847 |
Full Name | Dr Stonewall Mccuiston Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 375 N Wall St Ste P310, Kankakee, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720072143 | NPI | - | NPPES |
4623239 | Other | IL | BLUE CROSS AND BLUE SHIELD OF ILLINOIS |
036074737 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036074737 (Illinois) | Secondary |
208000000X | Pediatrics | 036074737 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Health System | 3274434717 | 152 |
Entity Name | Riverside Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Entity Name | Riverside Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982703005 PECOS PAC ID: 5991608549 Enrollment ID: O20040130000202 |
Mailing Address | Practice Location Address |
---|---|
Dr Stonewall Mccuiston Jr, MD 375 N Wall St Ste P310, Kankakee, IL 60901-3484 Ph: (815) 933-0194 | Dr Stonewall Mccuiston Jr, MD 375 N Wall St Ste P310, Kankakee, IL 60901-3484 Ph: (815) 933-0194 |
Anuja Gupta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 N Wall St, Suite 100, Kankakee, IL 60901 Phone: 815-933-2557 | |
Safwat G. Iskander, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 N Wall St, Suite 312, Kankakee, IL 60901 Phone: 815-933-3200 Fax: 815-933-3557 | |
Dr. Josefina Batista, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 375 N Wall St Ste P310, Kankakee, IL 60901 Phone: 815-933-0194 Fax: 815-936-3847 | |
Rodney Alford, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 401 N Wall St, Suite 206, Kankakee, IL 60901 Phone: 815-937-2044 Fax: 815-937-2029 | |
Dr. Saadia A Zaheer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 70 Meadowview Ctr, Suite 300, Kankakee, IL 60901 Phone: 815-802-0022 Fax: 815-802-0011 |